Provider Demographics
NPI:1538410212
Name:SCOTT, DARLENE MARIE (MA, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:MARIE
Other - Last Name:GLENN-SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:150 N RADNOR CHESTER RD STE F200
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5245
Mailing Address - Country:US
Mailing Address - Phone:610-977-2417
Mailing Address - Fax:
Practice Address - Street 1:150 N RADNOR CHESTER RD STE F200
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-5245
Practice Address - Country:US
Practice Address - Phone:610-977-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008854101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1538410212Medicaid